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Michigan rates for HCPCS J0223

Injection, givosiran, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $239.88 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $123.03 / $151.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $194.98 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $323.59 / $389.05
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $165.96
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $117.49 / $120.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $128.82